Daily Requiem Mass Offered
For the Happy Repose of the 
Souls of the Faithful Departed
Stipend for EACH Mass is only $35.00. (U.S. Funds Only Please!)

N.B.  Please mark as many boxes as you like.  Please remember, there is only ONE Mass Offered for EACH ONE Soul. For example, IF you mark 2 boxes, you are requesting two Masses and you would mail us a Stipend for the total of these two Masses = $70.00, along with this filled-out form which you will have printed and to which you will have attached your check before mailing.

My Spouse My Grandfather My Uncle
My Child My Grandmother My Aunt
My Father My Brother One of my Relatives
My Mother My Sister One of my Friends
A Religious Nun or Sister 
     who taught me in school
A Priest or Bishop who 
      gave me Sacraments
A Priest or Bishop who 
     taught me in school
A Priest or Bishop
     at whose Masses I assisted
A Religious Brother who 
     taught me in school
An Unknown Soul in Purgatory in 
     desperate need now
One of my Classmates One of my Neighbors A Deceased Victim of Terrorist Attack
(name not necessary)

Please type at least the first name of each one for whom you are requesting a Requiem Mass, unless unknown.
or unless One or More Deceased Victim(s) of Terrorist Attack.
Note: One Stipend for each One Mass, even if for each One or More Victims of Attack. Thank You. God Bless You!
Name 1:
Name 2:
Name 3:
Name 4:
Name 5:
Name 6:
I have enclosed a Stipdend total of $  for ______ Masses. 

Please make your choices above, type in the data below, then print out this page, and make your check payable to Cordi-Marian Fathers.   Then mail this filled-out printed page and your completed check to  Cordi-Marian Fathers at:

Cordi-Marian Fathers
250 South Lyon Avenue, # DE 005
Hemet, California 92543

Mailing address:
City:    State: 
Zip Code:
E-Mail Address:

Please double-check to make sure all of the data is correct.
Then print out this page. You may click on the Printer below:

Please note: You will be notified by E-Mail of the exact date(s) which will be scheduled for each of your Requiem Masses. But we can't do this without your exact E-Mail address. Thank you and God Bless You! Please click here to return to SSJ Home Page.  Thank You!